Vacaville Ranch Post Acute
101 S Orchard Ave · Vacaville, CA · 95688 · 7074486458
87 certified beds For profit - Corporation
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.70 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.82 | 0.55–0.75 |
| Weekend hours / resident-day | 4.16 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 7 · $127,689 |
Inspection citations (19 in the current record)
-
Potential for harm · E August 8, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected September 4, 2025 · Resident Rights
-
Potential for harm · D August 8, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 4, 2025 · Resident Rights
-
Potential for harm · D August 8, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 8, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 4, 2025 · Pharmacy Service
-
Potential for harm · E August 8, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected September 4, 2025 · Nutrition and Dietary
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Potential for harm · F August 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 4, 2025 · Nutrition and Dietary
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Potential for harm · F August 8, 2025
Dispose of garbage and refuse properly.
Corrected September 4, 2025 · Nutrition and Dietary
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Potential for harm · E August 8, 2025
Provide and implement an infection prevention and control program.
Corrected September 4, 2025 · Infection Control
-
Potential for harm · D December 13, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected January 13, 2025 · Pharmacy Service
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Potential for harm · D December 13, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 13, 2025 · Nutrition and Dietary
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Potential for harm · E December 13, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 13, 2025 · Nutrition and Dietary
-
Potential for harm · D July 12, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected August 8, 2024 · Resident Rights
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Potential for harm · E July 12, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 8, 2024 · Pharmacy Service
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Potential for harm · E July 12, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 8, 2024 · Pharmacy Service
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Potential for harm · D July 12, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected August 8, 2024 · Pharmacy Service
-
Potential for harm · E July 12, 2024
Provide and implement an infection prevention and control program.
Corrected August 8, 2024 · Infection Control
-
Potential for harm · D July 12, 2024
Implement a program that monitors antibiotic use.
Corrected August 8, 2024 · Infection Control
-
Potential for harm · D May 20, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 28, 2024 · Resident Rights
-
Potential for harm · D May 20, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected June 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 20, 2024 | Fine | $4,938 |
| February 9, 2024 | Fine | $94,169 |
| January 2, 2024 | Fine | $4,587 |
| December 11, 2023 | Fine | $11,645 |
| October 17, 2023 | Fine | $3,176 |
| October 10, 2023 | Fine | $2,823 |
| September 18, 2023 | Fine | $6,351 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055412 · certified since December 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.